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经阴道子宫切除术加阴道壁修补术对女性尿失禁主观和客观参数的影响(作者译)

[Influencing of subjective and objective parameters in female incontinence through vaginal hysterectomy with colporrhaphy (author's transl)].

作者信息

Grüneberger A, Geier G

出版信息

Geburtshilfe Frauenheilkd. 1980 Jan;40(1):12-6. doi: 10.1055/s-2008-1037015.

Abstract

50 out of 657 stress-incontinent women were explored before and 19 months after vaginal hysterectomy with anterior and posterior colporrhapy as follows: 1) degree of incontinence, 2) lateral urethrocystography, 3) simultaneous pressure recordings of bladder urethra and rectum. Urodynamical investigations showed a continence zone in one third of the patients after surgery. The descensus was normalized in one third and improved in two third of the cases. The operation failed in 6%, 22% had an improvement, and 72% felt cured from their stress-incontinence. Our investigations show poor correlation between clinical symptoms, urodynamical, and radiological findings.

摘要

对657例压力性尿失禁女性中的50例,在阴道子宫切除术加前后阴道壁修补术前及术后19个月进行了如下检查:1)失禁程度;2)尿道膀胱造影;3)膀胱尿道和直肠压力同步记录。尿动力学检查显示,术后三分之一的患者存在控尿区。三分之一的病例阴道脱垂恢复正常,三分之二有所改善。手术失败率为6%,22%有所改善,72%感觉压力性尿失禁已治愈。我们的研究表明,临床症状、尿动力学和影像学检查结果之间的相关性较差。

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